Infarcted Wandering Spleen: Case Report from Tirunesh Beijing General Hospital, Addis Ababa, Ethiopia

Wandering spleen or hypermobile results from the elongation maldevelopment of spleen’s suspensory ligaments. It is rare clinical entity with fewer cases reports worldwide. found mostly in children and adult it said to be common females reproductive age group. Its presentation different asymptomatic palpable abdominal mass, intermittent discomfort due torsion spontaneous detorsion acute abdomen subsequent ischemia infarction. Because rarity condition patient might end global infarction splenectomy unless physician has high index suspicion. Here we will present a case report 19 year old female who presented pain, vomiting, nausea, anorexia fever 3 days duration. Has tenderness leukocytosis ultrasound finding anechoic splenic lesions peritoneal collection. Due lack other imaging modalities, exploratory laparotomy was done an impression ruptured abscess. The frankly infarcted 720 degrees no ligaments attachment. Total vaccinated pentavalent vaccine during her discharge. Even though wandering conditions, one consider as differential diagnosis left upper quadrant pain later generalized. And if possible early suspicion salvage spleen.